Johnson, Mark P

Johnson, Mark P is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Johnson, Mark P can be contacted via phone (215) 590-2730.

Contact Information

Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104
Fax: (215) 590-4875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD066375L Pennsylvania

Profile Details

NPI number 1407937576
LBN Legal business name Johnson, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407937576 NPPES
Pennsylvania MEDICAID 00171137

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